I've been going to Dr Salib for a couple of years now. So, as you age mainly the proteins within the lens kind of like the lens of a camera that allows you to focus the proteins within the lens start to clump together and form a clouding of the lens. Good to have you with us todays topic is a unique one. The Best 10 Ophthalmologists near Laguna Hills, CA 92653, Soroudi Advanced LASIK & Eye Center - Newport Beach. We are located in the saddleback memorial medical towers see well live well. Right, right, the blood pressure cuff is very important. Our good vision always very important that we all keep our eyes working well and Doctor Salib back with us today to talk about that welcome to the show sir. On the right you can see the cataract and the cataract eye scatters the light so that the retina which is the back of the eye doesnt get a clear image and you see it blurry.

So now weve been using a technology called femtosecond laser technology where weve been using that for all laser LASIK where we create the flap, but now we can use that same precision to do the incisions for the cataract surgery and the circular opening in the front of the cataract called the capsulotomy and we can even soften the cataract itself to lessen the amount of energy that we use during the cataract surgery. Optometrists also screen for conditions that affect the eyes and vision, includinghigh blood pressureand diabetes.

Im one of few surgeons in this whole area that are able to do this kind of surgery and I was actually the first surgeon in the western US to use the latest software version of this laser. Copyright 2022 Orange County Eye Institute. Use of this website and any information contained herein is governed by the Healthgrades User Agreement. Waking up in the morning being able to see the alarm clock without putting on glasses not having to worry about glasses and frames and contact lenses and the associated possible risk of infection. So if you eat carrots or if you eat things with beta-carotene such as spinach kale coloured greens then youll get more beta-carotene. Hi Im Florence Henderson.

So you could actually see on the on this picture over here that on the left image you can see the eye in a side view with the lens focusing the light very clearly onto the back of the eye which is the red part of the eye called the retina, and so you have a very clear image, right, on the right side of the screen the cataract the cloudy lens scatters the light and doesnt allow for a clear image and usually by the time were in our 70s about half of us will have significant cataracts and by the time were in our 80s about 70 to 75 percent of us will have cataracts and they can impact our life greatly by blurring your vision, it makes it difficult to drive at night for instance because of the glare from headlights, even during the day from the sunlight you might have trouble reading or seeing the television or the print on the television, right, so its a natural occurrence and you could have good health and healthy eyes otherwise but develop that strictly through the aging process. Sure, anytime a patient comes into our office we ask about all of their medications in general some medications have some effects on the eyes and we like to know just their general overall history.

So, lets go. Practicing physical distancing in our waiting rooms.

Id be happy to. Right, well thats a very good question you have to look at their overall history thats why when we take a patient into our clinic we will ask them a bunch of questions to see what is their past medical history and if they have high blood pressure for instance or diabetes or kidney disease or high cholesterol, we take all those factors into consideration to look at what might be causing that disease in your eye and theres certain patterns that are more familiar or more characteristic of certain diseases and we take that into consideration. Face it over the years having been here a number of years Ive had a lot of interviews with medical folks and one of the things that we talk about a lot with you ophthalmologists is cataracts. On the right you could see that theres a haemorrhage there so you can get large haemorrhages and bleeding inside the eye as well as even retinal detachments and even certain types of glaucoma and fluid leakage and thats all as a result of that sugar affecting those blood vessels and making them weak.

Yes exactly. If you have any questions, concerns, or would like to schedule an appointment, please contact us today. I recently got my LASIK with Contoura done (March 9th) and I am shocked with the results. There are certain vitamins that are helpful especially with people who have moderate macular degeneration. You test for which is the stronger eye or which eyes better to be your distance eye and your close-up eye. So really strict blood sugar control is very important and its been shown in a study here in the united states and in the UK that strict control can actually decrease the rate of progression of diabetic changes in your eye by about half. Right again good communication whether its your family doctor or your ophthalmologist thats always very important. Okay, youre saying that your procedure is all laser. Good sounds like something you folks would want to ask about if your doctor was saying to you hey your cataracts are coming out you need to get those dealt with this might be the next technology and something that might be helpful to people that want to find out more, they can contact your office for if they want to get that exam taken care of, sure, and they also can of course get taken surgery as well 770-1322 they can give you a call and find out more.

When people come to me and tell me you know I cant see as well please change my glasses, Ill change their glasses and they come back a month later I still cant see well out of my glasses thats a common sign that you have a cataract, if youre frequently changing glasses. So, there its a very successful procedure and most people are extremely happy with it. Right and finally obviously like a lot of medical procedures there may be some insurance coverage but maybe not how about paying for this obviously this is a procedure that maybe not all insurance companies are ready for yet? Similar to what we see here on the screen? Now of course there are other health issues we might talk about if youre sedentary and not moving around because youre watching tv too much, that can lead to obesity which can lead to problems with the eyes later on but theres no direct bad effect from just watching tv too long or using a computer for too long or sitting too close. A cataract is basically a clouding of the natural lens of your eyes. Maybe its a little darker or they cant see quite as well because of the lights flashing in their eyes. Requiring all patients, staff and physicians wear a face mask during the entirety of their time in our office.

Yes exactly, but I would imagine there may be some rare cases where maybe something happens and it happens sooner at a younger age I guess youve had some cases younger than 75 or so oh yeah sure if you had for instance some trauma in your eye if you have diabetes or if youve taken oral steroids such as prednisone for another medical condition certainly you can develop cataracts earlier so you remove the, the, lens the cloudy lens and I guess back in the day in the ancient days that was all they did and they gave you the real thick glasses so you could, could, cope right exactly so were taking out the natural lens of the eye which has gotten cloudy and we have to replace it otherwise you wont have a lens to focus and thats when you get those big coke bottle glasses nowadays we have really exciting ways of taking out the cataract we have the standard method which is with something called fake emulsification where we break up the lens with this machine and then we suck it out and we put in a new lens inside your eye which is called an intraocular lens or IOL the other option now we have is laser cataract surgery with a laser machine and were always staying up on the latest of technologies Im actually very proud to announce that last Friday I was the first surgeon in the western united states to use the latest software advancement for the latest lens x laser and the cases really went beautifully I know youve been using lasers for years for other types of procedures with the eye LASIK and some of those corrective procedures right so is this the same laser or a different diff different type of laser well theres two types of laser for instance used to do LASIK theres one that creates the flap and ones that does the correction this is the same type of laser that creates the flap okay so youre using similar technology that youre somewhat familiar with already with this new procedure yes I guess the lens you replace it with I think people that have worn contact lenses its is it a soft material is it a hard material whats the actual replacement lens made of its usually a soft material made with a plastic called acrylic or it could be made with silicone its very small and it fits right into the eye not on the surface of the eye but inside so it goes behind where that lens where that cloudy lens was removed you replace it with a new type of lens and I guess again they went from the coke bottle glasses to a for those of you in photography a fixed lens a specific millimetres of lens and usually that was for normal vision and then youd correct with glasses for reading and distance and all of that right well theres several types of lenses theres the standard monotonal lens which is actually shown here has a nice clear central portion through which you see but youll need glasses to see the different distances because it only focuses at one distance theres got some new technology now thats focusable exactly there are many new technologies now theres one lens that here for instance called the torque lens which has some hash marks that allows us to dial it in exactly to correct for something called astigmatism now astigmatism the easy way to understand that is if you look at your image inside a spoon your face will be distorted thats what astigmatism is if its not perfectly round it distorts it a little bit so this torque lens allows us to fix that problem and then theres other lenses such as the multifocal lenses lets like the restore lens or the teknis multifocal which have these little concentric rings in the centre of the of the lens which allows us to focus at different distances allowing us to see far intermediate and near those of us that are used to doing tv lighting or stage lighting maybe with a Fresnel lens this looks similar to that with the rings yeah its a very similar concept right and it allows us to split light at different levels to allow us to see different distances and theres also another lens called the crystal lens which is similar to that and it has hinges which allows that single optic to move back and forth also allowing us for a broader range of vision if somebody has been using glasses for years or contact lenses in a substitute for glasses they develop cataracts you say well the bad news is you have cataracts I have to take them out the good news is I can replace it with a lens that allows you to focus is there some training has our eye gotten lazy wearing contact lenses or glasses well it depends if you for instance have the crystal lens your eye and depending on how old you are you might have to go through an adjustment period to be able to focus that lens back and forth the other one with the rings you dont need that because it naturally splits the light with those rings so how do you make a decision to which one to recommend it looks like youve got four or five here that you like to use right how do you make that recommendation to the patient well thats the thing you know I dont want the patient to think you know that youre the only one that has to research this and figure out which lens is best for you we take you throughout the whole process we examine your eye I determine what is the best lens for your eye depending on the anatomy of your eye and what you like to do and what your goals are after surgery well the good news is that you can do a lot of great things with the other side of that is obviously anything medical is going to cost some dollars lets talk about the insurance aspect either private insurance Medicare or Medicare supplement is cataract surgery covered cataract surgery yes is covered by insurance as long as you have trouble seeing if youre not having trouble seeing but you still wanted to take advantage of the lens then it might not cover it but for all people who have trouble seeing yes it would now the lenses themselves the standard lens is covered the other lenses you might have to pay a little bit extra to get that extra technology and youll just pay the difference there I understand that we all like to hang on to our money and not dump it all at once you have something called care credit which helps people maybe kind of finance that process if they need to yeah exactly you can take between a year and a year and a half to pay off these lenses without interest and it makes it much more affordable to get that best lens inside your eye all right sounds like some unique technology if you want to find out more if this is appropriate for you give their office a call 770-1322 and by the way if you are the program director for a club or organization I understand youre available to come give them a free lecture and deal with some of these topics or anything that might be of interest as far as I care yeah Id be happy to go over these topics in much more detail at your clubs all right again if you want to find out more give the doctors office a call 770-1322 Doctor Salib, thank you for coming by interesting topic thanks for having me good to have you on the show today well be coming back with more as our Monday program continues here on channel 6 tv, "I would without